| NPI | 1740678531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10497) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 15552) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2020-08-29 |